Imogene Edson
Imogene Edson is a Mental Health Counselor in Waltham, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
77 Rumford AveWaltham, MA 02453-3872
Phone: (781) 894-4325
Fax: (781) 894-1195
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1578175030 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 17, 2020 |
| Last updated in NPPES | August 26, 2022 |
| Certification date | August 26, 2022 |
| Mailing address | 77 Rumford Ave, Waltham, MA 02453-3872 |
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